Organization
FAMILY PRACTICE ASSOCIATES
Active
Other names
David J. Randell, D. O., PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOSEPH RANDELL D. O., (OWNER)
(325) 698-4221
Entity
Organization
Contact information
Practice address
35 WINDMILL CIR, ABILENE, TX 79606-5234
(325) 698-4221
(325) 698-6951
Mailing address
35 WINDMILL CIR, ABILENE, TX 79606-5234
(325) 698-4221
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
H5795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133854306
—
TX
01
—
1932198611
INDIVIDUAL NPI
—
Enumeration date
10/11/2007
Last updated
10/11/2007
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